First Pass Paid

Free tool · Calculator

What is my first-pass rate costing me?

Every claim that does not pay on the first submission costs staff time and delays cash. Enter your own numbers to see how much, each month.

Every number below starts as an example, not an industry statistic. Replace each one with your own figures.

Example: 600. Change it.

$

Example: $120. Change it.

%

Example: 80%. Change it.

$

Example: $25. Change it.

days

Example: 30 days. Change it.

Each month, at these inputs

First-pass estimate
Claims needing rework120
Rework cost$3,000
Cash delayed by rework$14,400
Insurance cash outstanding at 30 days to payment$72,000

Arithmetic on the numbers you entered. Claims needing rework equals claims times the share that did not pay on first submission. Cash delayed is the payment value of those claims. It runs in your browser and nothing is sent anywhere.

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Practice-level details only. Never enter patient information here.